Kenneth L. Gong D.D.S.

NPI 1043224165 - Dentist - 1223G0001X

NPI Details
NPI 1043224165
Gender Male
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1840 4TH ST
SUITE 100
LIVERMORE CA, 94550-4454, US
Phone (925) 960-0777
Fax
Business Location
1840 4TH ST
SUITE 100
LIVERMORE CA, 94550-4454, US
Phone (925) 960-0777
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 42049
Remove 1043224165 NPI Number
 

According to our database, Dr. Kenneth L. Gong D.D.S. NPI is 1043224165, taxonomy code is 1223G0001X and license number is 42049, license state is located at California. Kenneth L. Gong D.D.S. physically located at 1840 4th St, Livermore CA, 94550-4454. NPI Number Kenneth L. Gong D.D.S. has the Individual type.

Sponsored links

1043224165 NPI number is provided on an as is basis without warranty of any kind. 1043224165 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth L. Gong D.D.S. are for informational purposes only.